Active NPI
Angela M Tucker, CRNA
- Certified Registered Nurse Anesthetist
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 20894
- Practice address
- 3333 Burnet Ave.
ML 2001
Cincinnati, OH 45229-3039 - Phone
- (513) 636-4408
- Fax
- (513) 636-7337
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 20894 | SC | Primary |
Addresses
Primary practice location
3333 Burnet Ave.
ML 2001
Cincinnati, OH 45229-3039
Mailing address
3333 Burnet Ave.
ML 5021
Cincinnati, OH 45229-3039
Phone (513) 636-0356
Other names 1
- Angela Moore
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-1915
Hospital & facility affiliations
- Spartanburg Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health-Upstate | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Pathology Associates of Greenville PA | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Pelham Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Ohio LLC | Current | Accepting new patients | |
| Pelham Medical Center | Current | Accepting new patients | |
| Prisma Health-Upstate | Current | Accepting new patients | |
| Prisma Health-Upstate | Current | Accepting new patients | |
| Spartanburg Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2615 E High St
Springfield, OH 45505
Phone (888) 861-3994
22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100
200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200
175 Patewood Dr
Greenville, SC 29615
Phone (864) 797-1000
701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030
830 S Buncombe Rd
Greer, SC 29650
Phone (864) 797-8000
250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108
298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100
729 SE Main St
Simpsonville, SC 29681
Phone (864) 271-8647
101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915
807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Spartanburg, SC
- NPI 1043309917
-
- Anesthesiology Physician
- Springfield, OH
- NPI 1417276429
-
- Cardiovascular Disease Physician
- Greer, SC
- NPI 1962644773
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1649726738
-
- Anatomic Pathology & Clinical Pathology Physician
- Greenville, SC
- NPI 1831151976
-
- Pain Medicine Physician
- Greer, SC
- NPI 1942960844
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1679029771
-
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1811439649
-
- General Acute Care Hospital
- Spartanburg, SC
- NPI 1518998038
Nurse Anesthetist, Certified Registered
-
- Physical Medicine & Rehabilitation Physician
- Spartanburg, SC
- NPI 1942188875
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Spartanburg, SC
- NPI 1033681630
-
- General Acute Care Hospital
- Spartanburg, SC
- NPI 1609807122
-
- Rehabilitation Hospital Unit
- Spartanburg, SC
- NPI 1942772546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498003200000",
"number": "1023136124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BURNET AVE.",
"address_2": "ML 5021",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293039",
"telephone_number": "513-636-0356",
"fax_number": "513-636-9286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BURNET AVE.",
"address_2": "ML 2001",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293039",
"telephone_number": "513-636-4408",
"fax_number": "513-636-7337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "ANGELA",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2017-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "20894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "MOORE",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.